MEDICARE: MR. ROBERT M PETERS JR. PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA499	KY

General Provider Information

NPI Number	:	1053493882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT M PETERS JR. PA-C

Provider Business Mailing Address
First Line	:	440 CEDAR HILL DR
Second Line	:
City	:	ELIZABETHTOWN
State	:	KY
Zip	:	42701-8695
Country	:	US
Telephone Number	:	502-624-9503
Fax Number	:	502-624-9747

Provider Business Practice Location Address
First Line	:	851 IRELAND LOOP, CES, IACH
Second Line	:
City	:	FT. KNOX
State	:	KY
Zip	:	40121
Country	:	US
Telephone Number	:	502-624-9503
Fax Number	:	502-624-9747

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1962460030 — DR. RITA M DEVORE DDS
Practice Location Address:

2724 BRAVE RIFLES REGIMENT RD
FT KNOX, KY
40121

Practice Phone: 502-624-7313
Practice Fax:

1144275330 — DR. STEVEN WAYNE BINKLEY DMD
Practice Location Address:

2724 BRAVE RIFLES REGIMENT ROAD , HQS US ARMY DENTAL ACTIVITY
FT KNOX, KY
40121

Practice Phone: 502-624-7313
Practice Fax:

1558460188 — IRELAND ARMY COMMUNITY HOSPITAL
Practice Location Address:

BLDG 127 , GOLD VAULT RD
FT KNOX, KY
40121

Practice Phone: 502-624-9264
Practice Fax: 502-624-9252

1780783324 — AHC IRELAND-KNOX
Practice Location Address:

15TH CAV RD BLDG 5949
FT KNOX, KY
40121

Practice Phone: 502-624-5915
Practice Fax: 502-624-5921

1619090032 — MARCUS FRANKLIN RPH
Practice Location Address:

IRELAND LOOP BLDG 851 , PHARMACY SERVICE
FT. KNOX, KY
40121

Practice Phone: 502-624-9036
Practice Fax: 502-624-9873

1306020425 — MS. CAROLYN ROSENTHAL NP
Practice Location Address:

289 IRELAND AVE , IRELAND ARMY COMMUNITY HOSPITAL
FT. KNOX, KY
40121

Practice Phone: 314-744-4280
Practice Fax:

Directions to “ MR. ROBERT M PETERS JR. PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.